KEITH MELLOVITZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

KEITH

Last Name

MELLOVITZ

Suffix

DDS

Business Name

KEITH MELLOVITZ DDS

Original Issue Date

01/01/1998

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2024